DENNIS D BLACK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068743

License Status

INACTIVE

Business

First Name

DENNIS D

Last Name

BLACK

Suffix

Business Name

DENNIS D BLACK MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

07/31/1996

City

LITTLE ROCK

State

Zip

72202

County

ARKANSAS

Ever Disciplined

LastModifiedDate

09/20/2006